Provider Demographics
NPI:1265026611
Name:FINDER, SOPHIA J (RDN)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:J
Last Name:FINDER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 AUTUMN LEAF DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7611
Mailing Address - Country:US
Mailing Address - Phone:314-719-9323
Mailing Address - Fax:
Practice Address - Street 1:1569 AUTUMN LEAF DR
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021-7611
Practice Address - Country:US
Practice Address - Phone:314-719-9323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001013264133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered